Nail lacquer: Ciclopirox lacquer is usually applied to the affected nails once daily at bedtime or at least 8 hours before washing the affected area. Before using this medication for the first time and once a week while using Apo Ciclopirox, remove any loose nail or nail pieces using nail clippers or nail files. Then, using the applicator brush provided, apply lacquer evenly over the entire nail, the skin right around the nail, and on the bottom side of the nail and the skin beneath it. Let the lacquer dry (about 30 seconds) before putting socks or stockings on. Apply daily over the previous coat. Once a week, remove the lacquer with rubbing alcohol. You should file away (with an emery board) loose nail material and trim nails, as required, or as directed by your doctor. Avoid contact with the eyes and mucous membranes (e.g., mouth) and avoid contact with skin other than the skin surrounding the nail(s) being treated. Do not use nail polish on treated nails.
Ciclopirox lacquer should be stored at room temperature. Protect Apo Ciclopirox from light by storing the bottle in its carton after each use. Keep away from heat and flame.
Cream or lotion: Gently massage the medication into the affected and surrounding skin areas twice daily, in the morning and evening, for a minimum of 4 weeks. If within 2 weeks there is no improvement in symptoms such as itching, call your doctor.
Do not use Apo Ciclopirox in the eyes or in the vagina. Store the cream or lotion at room temperature and keep it out of the reach of children.
Shampoo: Ciclopirox shampoo is generally used 2 or 3 times a week, or as often as recommended by your doctor. Wet hair and apply enough shampoo to work up an abundant lather. Massage the scalp with your fingertips for 2 to 3 minutes, then rinse the hair well. Repeat lathering and rinsing.
Keep ciclopirox shampoo out of the eyes and away from the eyelids. If you get this medication in your eyes, flush well with clean water. Ciclopirox shampoo may cause discoloration of grey, white, or chemically damaged hair. Store the shampoo at room temperature and keep it out of reach of children.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are using the medication without consulting your doctor.
It is important to use Apo Ciclopirox exactly as prescribed by your doctor. If you miss a dose, use it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not use a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.
